Oral Answers to Questions

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Wednesday 2nd April 2025

(2 days, 2 hours ago)

Commons Chamber
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John Grady Portrait John Grady (Glasgow East) (Lab)
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Q1. If he will list his official engagements for Wednesday 2 April.

Keir Starmer Portrait The Prime Minister (Keir Starmer)
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To pick up on your comments, Mr Speaker, on Monday night I spoke to President Zelensky. He wanted me to pass on his thanks to you for attending in Ukraine, particularly on the third anniversary of the massacre at Bucha. I have been to Bucha, and this is a terrible, terrible third anniversary.

We have been preparing for all eventualities ahead of the confirmation of US tariffs later today. Let me be clear with the House: a trade war is in nobody’s interests. The country deserves, and we will take, a calm and pragmatic approach. That is why constructive talks are progressing to agree a wider economic prosperity deal with the US. It is why we are working with all industries and sectors likely to be impacted. Our decisions will always be guided by our national interest. That is why we have prepared for all eventualities and will rule nothing out.

Our deepest sympathies are with the people of Myanmar and Thailand. We are sending immediate lifesaving support to assist their efforts.

May I also extend my personal condolences to the family, friends and colleagues of Christina McKelvie? She was much loved and will be sorely missed, especially by our Scottish National party colleagues here and in Scotland.

This morning I had meetings with ministerial colleagues and others. In addition to my duties in this House, I shall have further such meetings later today.

John Grady Portrait John Grady
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This week, the full state pension will rise by £472 a year, putting money in the pockets of pensioners in Glasgow and across the United Kingdom. Does the Prime Minister agree that this rise is possible only because of Labour’s plan for change and our commitment to the triple lock?

Keir Starmer Portrait The Prime Minister
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My hon. Friend is absolutely right. We can commit to the triple lock because we have restored stability after the Conservatives crashed the economy. That means that, next week, 12 million pensioners will receive up to £470 more—that is an extra £1,900 over this Parliament—including 1 million pensioners in Scotland. The contrast could not be clearer. The shadow Chancellor, the right hon. Member for Central Devon (Mel Stride), called the triple lock “unsustainable”, and the Leader of the Opposition wants to means-test the state pension so that she can cut it.

Lindsay Hoyle Portrait Mr Speaker
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I call the Leader of the Opposition.

Kemi Badenoch Portrait Mrs Kemi Badenoch (North West Essex) (Con)
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The triple lock was a Conservative policy—[Interruption.]

Kemi Badenoch Portrait Mrs Badenoch
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Rather than the Prime Minister congratulating himself on what we did, why don’t we talk about what he is doing? From Sunday, Labour’s job tax will mean that many British businesses face a terrible choice: cut wages, put up prices or sack their staff. What is his advice to those businesses?

Keir Starmer Portrait The Prime Minister
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The right hon. Lady says that the triple lock “was” a Conservative policy. The Conservatives were once thought to be the party of sound finances, but they blew all of that. She asked what we are doing. We are clearing up the mess that they left, we are dealing with global instability, and we recognise the pressures that are bearing down on businesses, individuals, and working people. That is why we are rolling up our sleeves. Yesterday, I was pleased to announce the national living wage increasing by £1,400. That is a pay rise for millions of workers. We have announced £150 for the warm home discount, now extended to 6 million households, which is one in five families. Wages are going up faster than prices. Never forget: under the Conservative party there were the worst living standards on record, inflation up to 11%, and public services left on their knees.

Kemi Badenoch Portrait Mrs Badenoch
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The only mess is the one that the Prime Minister made with his Budget. They had an emergency Budget last week that fixed nothing. He says that he is bringing stability, but all we see is fragility. During the election, the Prime Minister also promised that he would not increase taxes on working people, but even the Office for Budget Responsibility says that the jobs tax will be passed on to workers. On average, families will be £3,500 poorer. Why should anyone trust him again?

Keir Starmer Portrait The Prime Minister
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The right hon. Lady’s fantasy figure is about as much use as Liz Truss’s economic planning. She turns up every week to carp from the sidelines about decisions that we made in the Budget. Yesterday, she held a press conference and could not say whether she would reverse the decisions that we made at the Budget. I understand, because she cannot bring herself to say that she does not want the investment of an extra £26 billion in our NHS. I am not surprised at that, as that is 2 million extra appointments, 1,000 more GPs, a pay rise for nurses, and so on. Let me get her position right, if I can follow it: she wants the extra £26 billion in the NHS, which was paid for by the national insurance rise—she wants that—but she does not want to reverse the national insurance rises. She is now reduced to this absurd position of voting against a Budget—carping against a Budget—that she actually agrees with.

Kemi Badenoch Portrait Mrs Badenoch
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I do not agree with making people poorer. I do not agree with pensioner poverty. I do not agree—[Interruption.] Out there they are calling it “Awful April”, and that is because of decisions the Prime Minister has made, because he made promises, and broke them. His promises are worthless. People are getting poorer. Before the election he pledged to freeze council tax. Instead, it is going up everywhere, even in Birmingham, where 17,000 tonnes of rubbish goes uncollected on the streets. Does the Prime Minister regret promising the British people that he would freeze their council tax, when he has so obviously failed?

Keir Starmer Portrait The Prime Minister
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I have to ask the right hon. Lady this: if she does not want people to be poorer, why did she not resign when she was in government? The last Government put up council tax for 12 years in a row. She, I think, was actually the Minister responsible for council tax and, in that year, what did she do? She put it up. Even now the Local Government Association Conservative Group manifesto states, on page 9, its current position:

“We ask that that the Government removes the caps on Council Tax”.

Who is leading the charge? Hampshire county council wanted a 15% hike; we said no. Slough council wanted a hike; we said no. Windsor and Maidenhead council—was Tory, now Lib Dem—wanted a hike, and we said no. It is no surprise that council tax is £300 cheaper under Labour councils than under Tory councils.

Kemi Badenoch Portrait Mrs Badenoch
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The Prime Minister does not want to talk about Birmingham, and that is because he knows the situation. I will say it again: 17,000 tonnes of rubbish on Birmingham’s streets. Normally, a state of emergency is called for natural disasters, not Labour ones. His policies have left our economy dangerously fragile. The Chancellor, once again, left herself no room for manoeuvre. Economic experts, real economists, say that she will either have to break her fiscal rules or put up taxes—which will it be?

Keir Starmer Portrait The Prime Minister
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I think the right hon. Lady must have picked up the script she was using a few weeks ago, because only then she was saying that we were going to put up taxes in the spring statement. The situation in Birmingham is completely unacceptable, and I fully support the council in declaring it a major incident to resolve the situation. We will put in whatever additional support is needed. When the Conservatives were in government, we lost more days to strike action than in any year since the 1980s. NHS workers were on the picket line, not on the frontline, and that sent waiting lists through the roof, so we will take no lectures on industrial harmony from the Conservatives.

Kemi Badenoch Portrait Mrs Badenoch
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The whole House would have heard that the Prime Minister did not say whether he could keep to his fiscal rules. That means it is either change that or put up taxes. Nine months ago, we left Labour the fastest-growing economy in the G7. [Interruption.] We did. I remember watching his MPs laughing at their first destructive Budget. They have had another one that has made our economy dangerously vulnerable. The Bank of England says that his policies have pushed up the cost of living for families. Does he disagree with the Bank, or does he accept his policies mean higher bills?

Keir Starmer Portrait The Prime Minister
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The right hon. Lady must be the only person left in the country who actually thinks the Tories did well on the economy when they were in power. That was what was tested at the last election. Living standards were the worst on record, and inflation soared up to 11%. The NHS was on its knees. She is so obsessed with talking down the country that she has not read the OBR forecast properly. Growth is up in 2026, in 2027, in 2028 and in 2029. That is thanks to our planning reforms, the largest growth measure the OBR has ever costed. What did the Tories do when that Bill came before Parliament? They abstained. We do not grow the economy or build houses by abstaining. They are the same old party. They have not changed. Nothing’s new.

Kemi Badenoch Portrait Mrs Badenoch
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The Prime Minister talks about inflation. We left it at 2%. It is now twice what the OBR forecast when we were in government. The fact is that his decisions have made our economy fragile, just as we face global trade wars. In November, I urged him to seize the draft US trade deal that the Conservatives negotiated. Instead, he lost our most experienced trade negotiator. It is no wonder he cannot get a tariff deal for British cars. The Conservatives secured investments for that industry, with £600 million from BMW, £2 billion from Nissan and £4 billion from Jaguar Land Rover. Labour’s record is a car industry in crisis, even before tariffs, with 25,000 more jobs now at risk. He says he is preparing for all eventualities. Can the Prime Minister tell us exactly what he is doing to protect the British car industry from his failure to negotiate?

Keir Starmer Portrait The Prime Minister
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We are taking a calm, pragmatic approach and keeping our feet on the ground. Constructive talks are ongoing on a wider economic prosperity deal with the US. That is really important at this moment. We are working with all sectors that are likely to be impacted, and we are guided by our national interest at all times, and that is why we have said we will not rule anything out, but it is important at a moment like this that we do not have knee-jerk reactions and that we are cool-headed about this. That is why we will not rule anything out. The right hon. Lady was the Trade Secretary who failed to get a trade deal with the US.

Claire Hanna Portrait Claire Hanna (Belfast South and Mid Down) (SDLP)
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Q2.   Today, the Trump Administration will announce new tariffs that will hurt working people in the US and around the world. Does the Prime Minister agree that, at a time when big tech has grown fat by corrupting our politics and preying on young people, the wrong approach would be to pander to his bullying tactics and the tech billionaires in his imperial court by cutting the digital services tax? Can he assure the public that the poorest will not get cuts, while the richest get a free ride?

Keir Starmer Portrait The Prime Minister
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I thank the hon. Member for raising this important issue. There are issues in relation to Northern Ireland in particular that we have to deal with very carefully. We will always put the national interest first, and that is why I am pleased that talks are ongoing, and they are constructive talks. I believe that a trade war is in nobody’s interest, and all of the sectors and industries impacted are of the same view, so we will continue to make that progress in the national interest.

Lindsay Hoyle Portrait Mr Speaker
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I call the leader of the Liberal Democrats.

Ed Davey Portrait Ed Davey (Kingston and Surbiton) (LD)
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I associate myself with the Prime Minister’s earlier remarks, particularly about Myanmar and Thailand. I support the aid; despite the budget cuts, I hope we can be as generous as possible because of the humanitarian crisis there.

The Prime Minister has shown commendable leadership over Ukraine, with his plan for a military coalition of the willing against Putin. Will he now provide similar leadership with an economic coalition of the willing against Trump’s tariffs and for free trade, so we can avoid a global trade war and a global recession?

Keir Starmer Portrait The Prime Minister
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Every week the right hon. Gentleman tries to tempt me to make what I think is a false choice between our relationship with the US and our relationships with other countries, particularly in Europe. I think that is the wrong choice on defence, on security and on intelligence, for reasons that we have rehearsed across this Chamber. I also think it is wrong on trade and on the economy. We have a good deal of trade—a balanced trade relationship—with the US, and I believe that our interests are best served by calmly trying to secure a deal that is in our national interest, while at the same time preparing and leaving all options on the table.

Ed Davey Portrait Ed Davey
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I hope the Prime Minister is able to cut a deal, but I increasingly fear that the deal will not be good enough to avoid a global trade war. That is why one of the options must be to work with our European allies, our Commonwealth allies and others, because if we do not tackle Trump’s tariffs we could be saying goodbye to free trade for a generation.

Turning to a domestic matter, three years ago the American private equity firm KKR bought a 25% stake in Northumbrian Water. Since then, people across the north-east have seen their water bills soar, while in the last year alone Northumbrian Water has dumped nearly 1 million tonnes of raw sewage into Durham’s Whitburn coast conservation area. KKR is now poised to buy into Thames Water, because Ministers have ruled out a special administration regime. Will the Prime Minister guarantee that Thames Water will not be allowed to repeat the same trick of putting up bills and dumping raw sewage at the same time? The Conservatives allowed it; he should not.

Keir Starmer Portrait The Prime Minister
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In relation to the beginning of the right hon. Gentleman’s comments, I really do not think it is sensible to say that the first response should be to jump into a trade war with the US. That cannot be the first response of the United Kingdom, and I will resist his urgings to do that.

In relation to water, the right hon. Gentleman is absolutely right to point out the Conservative party’s appalling record on water, just like its record on everything. That is why I am pleased that we have already passed the Water (Special Measures) Act 2025 to take the necessary measures, but we will go further.

Damien Egan Portrait Damien Egan (Bristol North East) (Lab)
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Q4. Yesterday, the Work and Pensions Committee visited Manchester, where we saw the power of devolution in action, in this case helping people to find work. With just 5 percentage points separating Labour and Conservative candidates at the last mayoral election, does the Prime Minister agree that to get the maximum advantage from Labour’s devolution offer, the west of England needs an ambitious Labour mayor in Helen Godwin, for more jobs, to fix our buses and to get the homes we need built?

Keir Starmer Portrait The Prime Minister
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I believe it is best for communities when their leaders have skin in the game. Helen Godwin grew up in Stapleton, went to college in Filton and has a great record fighting for the community where she is raising her family. Our plan for change has delivered record funding for the west of England: more money for better buses, potholes and getting young people into work. That is the difference a Labour mayor working with a Labour Government delivers for the west of England.

Gavin Robinson Portrait Gavin Robinson (Belfast East) (DUP)
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The Prime Minister will know that many in the House will be assuaged by his suggestion that he will act in the national interest in relation to tariffs, but most will not have considered that, in acting in the national interest, what occurs in Northern Ireland is no longer solely in his control. He knows that exports from Northern Ireland are UK exports, and rightly so, yet imports to Northern Ireland could be affected as a consequence of EU retaliatory action. In keeping all his options open, now we have to live in a world of the consequences of the last Government with his support. Will he indicate whether he is prepared to take steps either to exempt Northern Ireland from EU action or to take retaliatory action if the EU does not do so?

Keir Starmer Portrait The Prime Minister
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I thank the right hon. Gentleman for raising this issue, which is of real importance to his constituents and to everybody in Northern Ireland. It is a very serious issue. That is why we need to be calm and pragmatic, and that is what workers and businesses in Northern Ireland would want to see from this Government at a time like this. We are, as he would expect, looking carefully at the details of any retaliatory tariffs announced by the EU, if they are announced, and what impact they might have on businesses. As he knows, where goods do not enter the EU, businesses can claim a full reimbursement of any EU duties paid, but I reassure him that the interests of Northern Ireland are at the forefront of our decisions. He may want to know that this morning the Business Secretary spoke to the Northern Ireland Executive, because this is a serious issue and we need to work together to resolve it in the interests of everybody in Northern Ireland.

Mike Tapp Portrait Mike Tapp (Dover and Deal) (Lab)
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Q5. While the last Government resorted to damaging keyboard diplomacy, this Government are leading, bringing 14 nations together this week to tackle illegal immigration. Like the Prime Minister, I have seen at first hand how counter-terror powers can disrupt threats before lives are lost. That same approach is essential in dismantling the smuggling networks. Does he agree that it is time that the Conservatives and Reform dropped the posturing, put national security first and backed our borders Bill?

Keir Starmer Portrait The Prime Minister
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The Conservatives tried an open borders experiment; we are now tackling illegal migration. They talked about flights; we have already removed 24,000 people with no right to be here. Under their Rwanda scheme, which was only ever supposed to return, I think, 300 people a year, what we have achieved in nine months would have taken them 80 years. We have replaced a gimmick with a real deterrent.

Tim Farron Portrait Tim Farron (Westmorland and Lonsdale) (LD)
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Q3. The Prime Minister has spoken very movingly, and with genuine sincerity and affection, about his time as a young man in the Langdale valley in the Lake district in my constituency and how that helped to shape him. I wonder whether he is aware that the hill farmers who maintain those stunning landscapes in the lakes and elsewhere will be earning on average significantly less than or barely half of the national minimum wage due to cuts in their income, despite the fact that they provide the backdrop to the remarkably important tourism economy. Will he agree to meet me and upland farmers in the lakes and the dales so that we can design a scheme together to end this poverty and equip our hill farmers to produce food and protect our epic landscapes for generations to come?

Keir Starmer Portrait The Prime Minister
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The hon. Gentleman and I share a love of the Lake district. We still go back there with our children. This is obviously a serious issue, which is why we put a record amount into farming at the Budget and also set out our road map. I will happily make sure that he gets a meeting with the relevant Minister to go through that and to take on board any points he has to make in relation to it.

Danny Beales Portrait Danny Beales (Uxbridge and South Ruislip) (Lab)
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Q6. Hundreds of residents in my constituency at Union Park are facing massive £1 million charges to repair their heating system and for fire safety works that have not been put right by the developer, which has now declared bankruptcy and walked away. Their new freeholder has washed its hands of responsibility and is instead leveraging huge ground rent bills and fines against those residents. Does the Prime Minister agree that that is exactly why we have to move forward with our plan, much delayed by the Conservatives, to abolish the outdated leasehold system once and for all as part of our plan for change?

Keir Starmer Portrait The Prime Minister
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The Deputy Prime Minister is saying, “Absolutely”, in my ear. We will end the feudal leasehold system which has left millions of homeowners subject to unfair costs and unreasonable practices. Our reforms include clear standards for repairs and maintenance, and that will give homeowners a greater say in how their homes are managed. I know the Housing Minister will have heard what my hon. Friend said.

Ayoub Khan Portrait Ayoub Khan (Birmingham Perry Barr) (Ind)
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Q7.   This Labour Government have failed the British public at every turn: they have abandoned the WASPI women, leaving them without the compensation they deserve; they have turned their backs on pensioners by failing to support the winter fuel allowance; they have let down children by keeping the two-child benefit cap in place; and they will inflict further hardship on the most vulnerable by slashing £5 billion from benefits. Perhaps the most immediate and visible failure, which poses an immediate and direct health risk to the people of Birmingham, is the appalling financial mismanagement of Labour-run Birmingham city council. After more than a decade of Labour control, that council’s incompetence has led to mountains of uncollected rubbish piling up on every street, so large that they can be seen by satellites orbiting in space. It is nothing short of a disgrace and a damning indictment of Labour’s inability to govern. Will the Prime Minister take urgent action to protect public health and the people of Birmingham by immediately deploying the—

Lindsay Hoyle Portrait Mr Speaker
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Order. We are meant to ask quick questions, otherwise nobody is going to get in.

Keir Starmer Portrait The Prime Minister
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I have said that the situation in Birmingham council is completely unacceptable, but the hon. Gentleman might want to tell his constituents that we have delivered 2 million extra appointments for the NHS, so waiting lists are coming down for them. We have delivered a £1,400 increase in the national living wage, including for his constituents, and we have got record investment into this country, growing the economy, including for his constituents.

Elsie Blundell Portrait Mrs Elsie Blundell (Heywood and Middleton North) (Lab)
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Q9. My constituents are grafters—they want to work, and they want to see opportunities created and the skills and investment in infrastructure that we need for the future. I welcome the Prime Minister’s commitment to fix the transport system in the north of England, which has been holding us back, and I invite him to the Atom Valley development zone in my constituency to discuss how we can create skilled jobs in north Greater Manchester.

Keir Starmer Portrait The Prime Minister
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I am grateful for my hon Friend’s question. We will unlock growth across the country in partnership with local leaders, giving power to those with skin in the game, and we will fix the north’s broken transport system—another thing that the Conservatives left in a complete mess—through nearly £1.7 billion for local buses, roads and trams, an additional £415 million to upgrade the trans-Pennine route, and fixing millions of potholes. Obviously, I will consider my hon. Friend’s kind invitation.

Ian Roome Portrait Ian Roome (North Devon) (LD)
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Q8. Since the Prime Minister and I last spoke, more than 6,000 people have signed an open letter to the Health Secretary in support of North Devon district hospital, which faces a 10-year wait for urgent repairs. Why is that hospital still being denied a ministerial visit, and will the Government consider the trust’s emergency plans and meet me and the trust, so that we can discuss keeping the operating theatres open beyond 2027 to meet capacity?

Keir Starmer Portrait The Prime Minister
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As I said in our previous exchange, obviously the unfunded promises—the fantasy promises —of the Conservative party meant that the hon. Gentleman’s hospital would never have been delivered. [Interruption.] Conservative Members should not moan; they should apologise to the hon. Gentleman’s constituents. We had to take tough decisions to make the programme deliverable, which is what we have done. We will continue to support the trust to maintain facilities in advance of the new hospital investment, and the Minister for Secondary Care will be visiting that hospital, which I hope will be an opportunity to have the necessary discussions.

Jack Abbott Portrait Jack Abbott (Ipswich) (Lab/Co-op)
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Q10. Stone Lodge academy, a special school in Ipswich, will be one of the first schools in the country to benefit from a new breakfast club this month. That is an important step in tackling Suffolk’s decades-long special educational needs and disabilities crisis, as is the multimillion-pound funding settlement given to opening new specialist places across the county. Will the Prime Minister outline what steps he will be taking to break down the barriers to opportunity further for all children as part of our plan for change?

Keir Starmer Portrait The Prime Minister
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I am very pleased to say that the first 750 breakfast clubs will open this month. I am pleased that there is an early adopter in my hon. Friend’s constituency, as well as in the constituency of the Leader of the Opposition—I am sure she will welcome that one of these weeks. That will put £450 a year back in the pockets of working people. Today, we have awarded £37 million to 300 primary schools to create up to 4,000 nursery places from September, making it easier for working families to access Government-funded childcare.

Martin Vickers Portrait Martin Vickers (Brigg and Immingham) (Con)
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Some 2,700 workers at Scunthorpe steelworks are facing redundancy, plus many more in the supply chain, and many of those people are my constituents. It is welcome that negotiations are continuing, but whatever the outcome, the local economy is going to need significant support. All those affected would appreciate it and be reassured if the Prime Minister could give an indication that he was personally taking an interest in this matter, and if at some point in the not too distant future, he would meet me, neighbouring MPs and the council leader to discuss the way forward.

Keir Starmer Portrait The Prime Minister
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I am grateful to the hon. Gentleman for raising that. I do take a personal interest. A short while ago, I went to Scunthorpe to talk to the management and workers to understand the challenges at first hand and how deeply worrying this will be for those working there, their families and the community as a whole, which is why negotiations are taking place. I call on the company to accept the offer of financial support that has been advanced, so that we can achieve a sustainable future for the workforce, the industry and the local community, because I believe that there is, and needs to be, a bright future for steel. As I have said, I do take a personal interest in this.

Luke Murphy Portrait Luke Murphy (Basingstoke) (Lab)
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Q11. Too many of my constituents are struggling to obtain an appointment with a GP. The GPs are trying their best, but they too are struggling, with capacity issues, outdated buildings and outdated technology, all because the Conservative party broke the front door to the national health service. Can the Prime Minister reassure my constituents that our plan for investment and reform will ensure that they can see a GP when they need one?

Keir Starmer Portrait The Prime Minister
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We are focused on delivering real results for patients by scrapping unnecessary targets, bringing back the family doctor, and requiring online bookings, which will help deal with the 8 am scramble. We are investing an additional £889 million to reinforce the front door of the NHS. That is the biggest increase for more than a decade, and it means that there will be hundreds more GPs since we came to power. This week, we have announced record investment to enable community pharmacies to deliver more services for patients, and to free up GP time.

Gideon Amos Portrait Gideon Amos (Taunton and Wellington) (LD)
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A recent NHS England report laid bare the catalogue of failures that left a patient with a history of violent aggression unconfined, untreated and completely unmedicated for nine months, until he killed Ian Coates and the young friends Grace O’Malley-Kumar and Barnaby Webber, from Taunton in my constituency. Will the Prime Minister join me and the people of Taunton in paying tribute to the families who have campaigned on this matter? Will he confirm that a public inquiry is to begin? Given the 50% cut to the cost of integrated care boards, will he also confirm that mental health services, both in the community and secure, will not suffer as a result of those cuts?

Keir Starmer Portrait The Prime Minister
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I thank the hon. Gentleman for raising that tragic case, and I pay tribute to the families. When it comes to cases such as this, I often find it hard to think how I would respond if I were a family member in such circumstances. I am not sure that I would have the courage that those families have to campaign in the way that they have done, and I pay tribute to them for it. We need to get to the bottom of all these issues, wherever they may lie, and that is what we will do.

Imogen Walker Portrait Imogen Walker (Hamilton and Clyde Valley) (Lab)
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Q12. My constituents are struggling to gain access to the healthcare that they desperately need, and one in six Scots is on a waiting list. Meanwhile, in England, the waiting lists have been coming down for the last five months, and more than 2 million appointments have been made available. Does the Prime Minister agree that the SNP-led Government should stop blaming everyone else for their failures, when Scotland’s broken public services are their responsibility?

Keir Starmer Portrait The Prime Minister
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My hon. Friend is right. More than 60,000 Scots have been stuck waiting for tests or treatment for over a year. That is a 46% rise in one year. I had to check that figure because it is so staggering. Despite the backlog, nearly 50,000 fewer operations are being performed than were performed before the pandemic. Let us compare that with the situation in England, where we have driven down waiting lists with more than 2 million extra appointments, and have scrapped NHS England to cut bureaucracy. Scotland’s NHS is in desperate need of reform, but the Scottish National party has no strategy, no plans and no ideas.

Greg Smith Portrait Greg Smith (Mid Buckinghamshire) (Con)
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Earlier, the Prime Minister seemed reluctant to answer a direct question about his jobs tax. Next time he visits my constituency to enjoy the beautiful Buckinghamshire surroundings of Chequers, will he go five minutes up the road to Wendover, and explain to Kate Rumsey of Rumsey’s Handmade Chocolates why his choices and those of his Chancellor have led to a 15% increase in costs for that business? As a result, it has already had to lay people off, and has had to reduce the hours of those whom it still employs. Is that what he meant by growth?

Keir Starmer Portrait The Prime Minister
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I am happy to tell anyone why: the Conservatives left a £22 billion black hole. They crashed the economy, they ruined our public services and, as we mend and rebuild the country, they carp from the sidelines. Even now, they cannot bring themselves to say that they do not want the investment, or that they will reverse the decisions we have made. They actually agree with the decisions we have made, because we are clearing up the mess that they left.

Jayne Kirkham Portrait Jayne Kirkham (Truro and Falmouth) (Lab/Co-op)
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One year ago yesterday, my constituent James Henderson was killed with other aid workers from World Central Kitchen when taking humanitarian aid into Gaza. Jim’s family have told me that he would want confirmation from our Government that we are taking all conceivable steps to make sure that aid, power and supplies are safely returned to Gaza. Could the PM confirm that he is doing all he can to ensure this? Could he also confirm that he will continue to push for a full investigation into the death of Jim and the other British WCK workers to be completed, and for appropriate action to be taken?

Keir Starmer Portrait The Prime Minister
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I thank my hon. Friend for raising this appalling incident, and our thoughts remain with the families of Jim, John Chapman and James Kirby. Attacks on aid workers are never justified. The families deserve justice, and we are pressing the Israeli Government to accelerate their investigation, including into whether criminal proceedings should be initiated. Israel must stop blocking aid to Gaza, the hostages must be released, and we must have an urgent resumption of the ceasefire.

Alberto Costa Portrait Alberto Costa (South Leicestershire) (Con)
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Double child rapist and murderer Colin Pitchfork is up for parole for the fifth time. I know the Prime Minister does not have direct control—nor should he—over the Parole Board, but he does have a view. I have asked this of all his predecessors, and I will now put the question to him: does he agree that men who brutally rape and strangle to death young women should, as a matter of a principle, spend most of their natural life in prison?

Keir Starmer Portrait The Prime Minister
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I am grateful to the hon. Gentleman for raising this appalling case, and I absolutely agree with him that there must be maximum penalties for anyone falling into that category. I saw many of these cases for myself, at first hand, when I was a prosecutor for five years, and worked with the police on really terrible cases, and I know the impact that such crime has on victims. I thank him for raising this.